Individual
KIMBERLY MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 WILLIAMS BLVD, SUITE A AND B, KENNER, LA 70062-5763
(504) 464-0719
(504) 464-0721
Mailing address
2424 WILLIAMS BLVD, SUITE A AND B, KENNER, LA 70062-5763
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1591
LA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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